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Tracking Preconception Health in North Carolina

 

Preconception health is a national priority that focuses on improving birth outcomes, reducing the risk of infant mortality, and transforming the health of women before, during, between, and beyond pregnancy. North Carolina has been a leader in preconception health and continues to drive innovation nationwide. In collaboration with maternal and child health experts across the state, the Division of Public Health developed a strategic plan to address preconception health issues. The North Carolina Strategic Plan examines how energy and resources can best be invested to improve the health of North Carolina's women and children and offers new strategies to achieve this vision.

In an effort to measure and track the health status of women of childbearing age, a steering committee was established by the Public Health Work Group (PHWG) of the Centers for Disease Control and Prevention (CDC) Select Panel on Preconception Care. This steering committee researched, analyzed and developed a recommended list of Core State Preconception Health and Health Care Indicators. The tabular data collected below is designed to be the first step in reporting and tracking these preconception health measures for North Carolina in order to guide efforts to improve the health and wellness of women of reproductive age across the state.

Domain Sub-Domain # Indicator Data source Links to Data by Year
General Health Status & Life Satisfaction Self-rated Health A1 Percentage of women who report good, very good or excellent health BRFSS

2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004

Social Determinants of Health Education B1 Percentage of women with a high school education/GED or greater BRFSS

2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004

Poverty B2 Percentage of women who live at or below 200% of the Federal Poverty Threshold ASEC

2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004

Health Care Access to and Utilization of Health Care C1 Percentage of women who currently have some type of health care coverage BRFSS

2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004

C2 Percentage of women having a live birth who had health care coverage during the month prior to pregnancy PRAMS

2010
2009
2008
2007
2006
2005
2004

C3 Percentage of women who had a routine checkup in the past year BRFSS

2014
2013
2012
2011
2010
2009
2008
2007
2006
2005

C4 Percentage of women having a live birth who had a postpartum checkup PRAMSa Not Available in NC
C5 Percentage of women having a live birth who had their teeth cleaned during the 12 months prior to pregnancy PRAMS

2010
2009

C6 Percentage of women who had a pap test within the past three years BRFSS b,c

2014
2012
2010
2008
2006
2004

C7 Percentage of women having a live birth who received preconception counseling about healthy lifestyle behaviors and prevention strategies from a health care provider prior to pregnancy PRAMSa Not Available in NC

Reproductive Health & Family Planning

Previous Preterm Birth D1 Percentage of women having a live birth who had a previous preterm birth Vital Statistics Birth Certificate Data

2014
2013
2012
2011
Not available in 2010
2009
2008
2007
2006
2005
2004

Previous Fetal Death, Miscarriage, or Stillbirth D2 Percentage of women having a live birth who had their previous live birth more than three weeks before the due date PRAMS

2010
2009
2008
2007
2006
2005
2004

D3 Percentage of women who experienced a miscarriage, fetal death or stillbirth in the 12 months prior to getting pregnant with their most recent live born infant PRAMSa Not Available in NC
Inter-pregnancy Interval / Birth Spacing D4 Percentage of women having a live birth who had less than 18 months between their previous live birth and the start of the most recent pregnancy Vital Statistics Birth Certificate Data

2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004

Pregnancy Intention / Wantedness D5 Percentage of women having a live birth who reported having an unintended or unwanted pregnancy

Unintended pregnancy: percentage of women who said that just before their most recent pregnancy, they wanted to be pregnant later or didn’t want to be pregnant then or at anytime in the future

Unwanted pregnancy: percentage of women who said that just before their most recent pregnancy they didn’t want to be pregnant then or at anytime in the future
PRAMS

2010
2009
2008
2007
2006
2005
2004

2010
2009
2008
2007
2006
2005
2004

Contraception (Access, Availability, and Use) D6 Percentage of women having a live birth who were not trying to get pregnant at the time of conception and neither they nor their husbands or partners were doing anything to keep from getting pregnant PRAMS

2010
2009
2008
2007
2006
2005
2004

D7 Percentage of women having a live birth who reported that they or their husbands or partners were currently doing something to keep from getting pregnant PRAMS

2010
2009
2008
2007
2006
2005
2004

Use of Assisted Reproductive Technology D8 Percentage of women having a live birth who used fertility drugs or received any medical procedures from a doctor, nurse, or other health care worker to help them get pregnant PRAMSa Not Available in NC
Tobacco, Alcohol & Substance Use Smoking E1 Percentage of women who currently smoke everyday or some days BRFSS

2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004

E2 Percentage of women having a live birth who smoked cigarettes during the three months prior to pregnancy PRAMS

2010
2009
2008
2007
2006
2005
2004

Alcohol Consumption E3 Percentage of women who participated in heavy drinking on at least one occasion within the past month BRFSS

2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004

E4 Percentage of women who participated in binge drinking on at least one occasion in the past month BRFSS

2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004

E5 Percentage of women having a live birth who drank any amount of alcohol during the three months prior to pregnancy PRAMS

2010
2009
2008
2007
2006
2005
2004

E6 Percentage of women years having a live birth who participated in binge drinking during the three months prior to pregnancy PRAMS

2010
2009
2008
2007
2006
2005
2004

Secondhand Smoke Exposure E7 Percentage of women having a live birth who reported that smoking is currently allowed in their home PRAMS

2010
2009

Nutrition & Physical Activity Fruit & Vegetable Consumption F1 Percentage of women who consume fruits and vegetables at least five times per day BRFSSd

2009
2007
2005

Obesity and Overweight F2 Percentage of women who are overweight or obese based on body mass index (BMI)
Overweight: percentage of women with a BMI ≥ 25 kg/m2 but < 30 kg/m2
Obesity: percentage of women with a BMI ≥ 30 kg/m2
BRFSS

2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004

F3 Percentage of women having a live birth who were overweight or obese based on BMI at the time they became pregnant
Overweight: percentage of women with a pre-pregnancy BMI ≥ 25 kg/m2 but < 30 kg/m2
Obesity: percentage of women with a pre-pregnancy BMI ≥ 30 kg/m2
PRAMS

2010
2009
2008
2007
2006
2005
2004

Folic Acid Supplementation F4 Percentage of women having a live birth who took a multivitamin, prenatal vitamin, or a folic acid supplement everyday of the month prior to pregnancy PRAMS

2010
2009
2008
2007
2006
2005
2004

Exercise/Physical Activity F5 Percentage of women who participate in enough moderate and/or vigorous physical activity in a usual week to meet the recommended levels of physical activity BRFSSd

2009
2007
2005

Mental Health General Mental Distress G1 Percentage of women who report that their mental health was not good for at least 14 out of the past 30 days BRFSS

2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004

Anxiety and Depression G2 Percentage of women having a live birth who visited a health care provider to be checked or treated for anxiety or depression during the 12 months prior to pregnancy PRAMS

2010
2009

Postpartum Depression G3 Percentage of women having a live birth who experienced depressive symptoms after pregnancy PRAMS

2010
2009
2008
2007
2006
2005
2004

Emotional & Social Support Domestic Abuse (Physical and Mental) H1 Percentage of women having a live birth who were physically abused by their partner during the 12 months prior to pregnancy PRAMS

2010
2009
2008
2007
2006
2005
2004

H2 Percentage of women having a live birth who were mentally abused by their partner during the 12 months prior to pregnancy PRAMSa Not Available in NC
Adequacy of Support H3 Percentage of women who always or usually get the social and emotional support they need BRFSS

2010
2009
2008
2007
2006
2005

H4 Percentage of women having a live birth who reported  that they had adequate social and emotional support available to them after delivering their baby PRAMSa

2010
2009
2008
2007
2006
2005
2004

Chronic Conditions Diabetes I1 Percentage of women who have ever been told by a health care provider that they had diabetes including gestational diabetes BRFSS

2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004

I2 Percentage of women having a live birth who before their most recent pregnancy had ever been told be a health care provider that they had Type I or Type II diabetes PRAMS

2010
2009
2008
2007
2006
2005
2004

Hypertension I3 Percentage of women who have ever been told by a health care provider that they had hypertension including hypertension during pregnancy BRFSSd

2013
2009
2007
2005

I4 Percentage of women having a live birth who reported that they had hypertension during the 3 months before their most recent pregnancy PRAMSa Not Available in NC
Asthma I5 Percentage of women who currently have asthma BRFSS

2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004

Infections HIV J1 Percentage of women having a live birth who were tested for HIV within a year prior to their most recent pregnancy PRAMSa Not Available in NC
Sexually Transmitted Infections J2 Rates of Chlamydia, gonorrhea, and syphilis (cases per 100,000 women aged 18-44 years) NSTD

2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003

Immunizations J3 Percentage of women who received an influenza vaccination within the past year BRFSS

2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004

a Indicator measure is a PRAMS Standard Item, which is not available in all PRAMS states.
b Indicator measure is a BRFSS Rotating Core Item, which is available in all states only in even years.
c Indicator measure is also available as an Optional Module, which can be added in odd years.
d Indicator measure is a BRFSS Rotating Core Item, which is available in all states only in odd years.

 

Fact Sheet

The State of Preconception Health in North Carolina (PDF)